Individual provider Active NPI

Isaiah Avink, DC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1003457532
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1104855006 Issued in MI
Practice address
1586 44TH St SW
Wyoming, MI 49509-4314
Phone
(616) 455-7040
NPI assigned
Oct 7, 2019
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1104855006 MI Primary

Addresses

Primary practice location

1586 44TH St SW
Wyoming, MI 49509-4314

Mailing address

1586 44TH St SW
Wyoming, MI 49509-4314
Phone (616) 455-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507002012 MI Practitioner - Chiropractic 3072922814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1586 44TH St SW
Wyoming, MI 49509-4314
Phone (616) 834-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1104855006MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Aug 1, 2021 Accepting new patients
Recovered Chiropractic CurrentSince May 2, 2022 Accepting new patients
Fitt Chiropractic and Wellness, PLLC Chiropractor CurrentSince Sep 30, 2024 Accepting new patients
Jawad a Shah, MD PC CurrentSince Aug 1, 2021 Accepting new patients
Parkhurst Chiropractic Life Center PLC Chiropractor PastSince Oct 1, 2019 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 3, 2006 Accepting new patients

Locations

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

5140 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

5601 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

1586 44th St SW
Wyoming, MI 49509
Phone (616) 455-7040

Networks

  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1003457532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094314",
            "telephone_number": "616-455-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094314",
            "telephone_number": "616-455-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINK",
        "first_name": "ISAIAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "1104855006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.